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Dental Care of the Future: Part II David J.Apsey, DDS www.futuredental.com 810-293-8750 Email: [email protected] Periodontal Pathogens Are Transmissible • Pathogens are transmissible • Detection of pathogens is possible • Treatment targeted to eliminate pathogens from dental plaque can cure infections The similarity of periodontal microorganisms between husband and wife cohabitants – association or transmission? Offenbacher S et al: J Periodontol 1985 56(6): 317-323 Here is the typical group most likely to exchange oral pathogens Periodontal Disease Is an Infectious Disease Successful Treatment Involves All Intimate Family Members. The Infectious Disease Model for Periodontal Disease • Portals of entry • Site of infection • Infectious dose Conditions Necessary for Infectious Diseases to Develop • Etiologic agents come from outside host • Sufficient numbers must be present “infectious dose” • Host must be susceptible Advanced periodontitis #19 Periodontal treatment results Endodontic periodontal lesions Endodontic periodontal lesions Endodontic periodontal treatment Hopeless teeth?? Successful endodontic periodontal treatment Acute periodontal abscess Successful infection control treatment Acute periodontal abscess SUCCESSFUL CLINICAL RESULT Association of Periodontal Disease With Cardiovascular Disease Do Periodontal Infections Contribute to the Development of Cardiovascular Disease? David Apsey, DDS References